Psychosis as first manifestation of autoimmune encephalitis against N-methyl-D-aspartate receptors (ECR-NMDA). Case Report
DOI:
https://doi.org/10.20453/rnp.v86i4.5179Keywords:
Anti-N-Methyl-D-Aspartate Receptor Encephalitis, Antibodies, SuicideAbstract
The case of a 21-year-old man, hospitalized in the psychiatric service of a general hospital with a history of abnormal thought, perception, and behavioral processes, reaching a suicidal attempt, is presented. In the psychiatric hospitalization unit, he experienced a torpid clinical course, including the appearance of involuntary movements and a progressive sensory disorder that led to his transfer to the Intermediate Care Unit of the Internal Medicine Service. After laboratory tests, imaging support and evaluation by different medical specialties, the final diagnosis was a clinical picture compatible with NMDA anti-receptor encephalitis.
Downloads
References
Contreras Carmona PJ, Cuba Fuentes MS. Abordaje de patologías mentales en la consulta ambulatoria mediante el modelo TOPIC psicos. Acta Méd Peru [Internet]. 2017; 34(1): 61-65. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172017000100011&lng=es
Guanyabens-Buscà N, Casado-Ruiz V, Giné-Serven E, Palomeras E, Muriana D, Boix-Quintana E, et al. Encefalitis antirreceptor de NMDA. Diagnóstico y tratamiento precoz en pacientes con sintomatología psicótica aguda-subaguda. Rev Neurol [Internet]. 2019; 68(1): 18. Disponible en: https://neurologia.com/articulo/2018386
Beattie M, Goodfellow J, Otto M, Krishnadas R. Anti-NMDAR encephalitis for psychiatrists: the essentials. BJPsych Bull [Internet]. 2021; 46(4): 235-241. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34075874/
Restrepo-Martínez M, Espinola-Nadurille M, López-Hernández JC, Martínez V, Téllez-Martínez JA, Bustamante-Gómez PA, et al. Aspectos neuropsiquiátricos de la encefalitis por anticuerpos contra el receptor NMDA. Rev Alerg Mex [Internet]. 2021; 68(4): 251-263. Disponible en: https://revistaalergia.mx/ojs/index.php/ram/article/view/953
Flores-Lazo LB, Olivera-Ruiz R, Vences MA. Manejo de encefalitis anti-NMDAR con rituximab: reporte de caso en un hospital público de Lima, Perú. Rev Cuerpo Med HNAAA [Internet]. 2022; 15(3): 439-443. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2227-47312022000300020&lng=es
Collao-Parra JP, Romero-Urra C, Delgado-Derio C. Encefalitis autoinmunes: criterios diagnósticos y pautas terapéuticas. Rev Med Chil [Internet]. 2018; 146(3): 351-361. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000300351&lng=en&nrm=iso&tlng=en
Cabrera SAS, Michel C, Cruzado L. Estados clínicos de alto riesgo para esquizofrenia y otras formas de psicosis: una breve revisión. Rev Neuropsiquiatr [Internet]. 2017; 80(1): 42-59. Disponible en: https://revistas.upch.edu.pe/index.php/RNP/article/view/3059
Barquero Madrigal A. Encefalitis por anticuerpos anti-receptor NMDA y abordaje de la psicosis: a propósito de un caso [trabajo de investigación en Internet]. San Pedro: Universidad de Costa Rica; 2015. Disponible en: http://repositorio.sibdi.ucr.ac.cr:8080/jspui/handle/123456789/4109
Viaccoz A, Desestret V, Ducray F, Picard G, Cavillon G, Rogemond V, et al. Clinical specificities of adult male patients with NMDA receptor antibodies encephalitis. Neurology [Internet]. 2014; 82(7): 556-563. Disponible en: https://www.neurology.org/doi/10.1212/WNL.0000000000000126
Lazar-Molnar E, Tebo AE. Autoimmune NMDA receptor encephalitis. Clin Chim Acta [Internet]. 2015; 438: 90-97. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0009898114003520?via%3Dihub
Landa Contreras E, Alvites Ahumada MP, Fortes Álvarez JL, Pérez López MLD. Psicosis y encefalitis NMDA: reporte de un caso y revisión de la literatura. Rev Clín Med Fam [Internet]. 2015; 8(1): 75-78. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2015000100011&lng=en&nrm=iso&tlng=en
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 María Alejandra Paz Calda

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.















RNP is distributed under a